Predictors of outcome of an Internet‐based cognitive‐behavioural therapy for post‐traumatic stress disorder in older adults

Böttche, Maria; Kuwert, Philipp; Pietrzak, Robert H.; Knaevelsrud, Christine

doi:10.1111/papt.12069

Cited by 29 publications

(13 citation statements)

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“…The results showed that group training of trauma-Focused cognitivebehavioural therapy has been effective in reducing the depression symptoms of the experimental group in posttest and follow-up stages. The findings of this study were in line with the studies of Fakhary et al, 17 bottche et al, 21 Wamser-Nanney et al, 18 Del Palacio-Gonzalez et al, 22 Rodriguez-Rey et al, 23 Cohen et al 15 muris et al, 24 which…”

Section: Discussionsupporting

confidence: 91%

The effectiveness of trauma-focused cognitive-behavioural therapy in the treatment of depression of divorced women

Noroozi¹,

Mokhtariaraghi²,

Barzoki³

2018

AMJ

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Background Divorce and disintegration of the family centre is a social problem having consequences considered as the main problems of current societies. Aims Therefore, the aim of this study was to determine the effectiveness of trauma-based cognitive-behavioural therapy in the treatment of depressed divorced women. Methods Materials and Methods: The experimental method was a pretest-posttest design control group with a three-month follow up. The statistical population of this study was a total of 103 women who referred to Mehravar Consulting Centre and Psychotherapy Centre in Tehran. After the initial stages of evaluation, 77 divorced women had the highest mean score in Beck Depression Inventory and 30 were selected and randomly divided into two groups of experimental (15 women), and control (15 women). The experimental group received weekly group intervention in 8 sessions of 90 minutes. Data were analysed using repeated measure ANOVA. Results The findings showed a significant difference between the performance of the two experimental and control groups in depression (F=22.23, p=0.001) in the post-test and after three months of follow-up. Conclusion The results indicated that trauma-based cognitivebehavioural therapy reduced depression symptoms in divorced women. Therefore, it is recommended to use this therapeutic approach to improve reconciliation, interpersonal relationships, and the promotion of quality of life after divorce in divorced women.

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Section: Discussionsupporting

confidence: 91%

The effectiveness of trauma-focused cognitive-behavioural therapy in the treatment of depression of divorced women

Noroozi¹,

Mokhtariaraghi²,

Barzoki³

2018

AMJ

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“…Individuals with symptoms of PTSD or other mental health problems may be less likely to engage in treatment approaches premised on the individual as the agent of change, including cognitive behavioural therapy (CBT), if they hold a strong belief that they were destined to have these problems. Indeed, in a recent paper looking at predictors of outcome following internet based CBT for treatment of PTSD in older patients, it was noted that patients with greater internal locus of control demonstrated a better response to treatment [33]. Give that trauma-focused CBT is considered best practice in the treatment of PTSD [34] and is widely used by Western-based clinicians, further understanding of the relationship between such beliefs and the concept of locus of control would offer useful insights to assist in the development of mental health treatment programs for refugees.…”

Section: Discussionmentioning

confidence: 99%

Causes of and risk factors for posttraumatic stress disorder: the beliefs of Iraqi and Afghan refugees resettled in Australia

Slewa‐Younan

Guajardo

Yaser

et al. 2017

Int J Ment Health Syst

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BackgroundResettled refugees are a vulnerable group for mental health problems and in particular, trauma-related disorders. Evidence suggests that poor ‘mental health literacy’ (MHL) is a major factor in low or inappropriate treatment-seeking among individuals with mental health problems. This study sought to determine the beliefs regarding the causes of and risk factors for post-traumatic stress disorder (PTSD) amongst two resettled refugee groups in Australia.MethodsUtilising a culturally adapted MHL survey method, 225 Iraqis and 150 Afghans of refugee background were surveyed.ResultsApproximately 52% of the Iraqi participants selected ‘experiencing a traumatic event’ as the ‘most likely’ cause for the clinical vignette, whereas 31.3% of the Afghan sample selected ‘coming from a war torn country’ as their top cause. While both groups identified being ‘born in war torn country’ as the most likely risk, at 34.4 and 48% of the Iraqis and Afghans respectively, differences regarding other risk factors selected were noted.ConclusionsThe results of this study indicate the need for culturally sensitive health promotion and early intervention programs seeking to improve MHL relating to PTSD in resettled refugee populations. There is also a need for mental health services to recognise that variation in MHL may be a function of both the cultural origin of a refugee population and their resettlement experiences. Such recognition is needed in order to bridge the gap between Western, biomedical models for mental health care and the knowledge and beliefs of resettled refugee populations.Electronic supplementary materialThe online version of this article (doi:10.1186/s13033-016-0109-z) contains supplementary material, which is available to authorized users.

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“…Des Weiteren konnte Trösken [2] Zusammenhänge zwischen Ressourcenkonstrukten und allgemeinen Indikatoren für den Therapieerfolg nachweisen. Was den Einfluss von Ressourcen auf den Behandlungs erfolg bei Depressionen oder posttraumatischen Belastungsstörung (PTBS) betrifft, hat es unseres Wissens nach bislang nur eine Studie mit einer internetbasierten Intervention gegeben [14].…”

Section: Introductionunclassified

“…Es ist jedoch auch gut möglich, dass man mit spezifischeren Ressourcenkonstrukten wie z. B. internalen Kontrollüberzeugungen wie in der Studie von Böttche et al[14] durchaus Effekte von Ressourcen hätten feststellen können. Hierzu wäre es allerdings notwendig gewesen diese Konstrukte mit den einschlägigen Messinstrumenten reliabel zu erfassen und nicht wie es in unserer Stu-die der Fall gewesen ist, einen globalen Wert für die Ausstattung einer Person mit sozialen und personalen Ressourcen heranzuziehen.…”

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Ressourcen, Kindheitstraumata und Psychopathologie bei stationär psychiatrischen Patienten

Thörel

Drieling

Schiele

et al. 2019

Psychother Psych Med

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ZusammenfassungKindheitstraumata können sich negativ auf die Ausbildung personaler und sozialer Ressourcen im Erwachsenenalter auswirken. Dies ist problematisch, da eine gute Ressourcenausstattung einen protektiven Faktor gegen die Entstehung psychischer Erkrankungen darstellt und teilweise auch mit besseren Therapieerfolgen einhergeht. Die vorliegende Arbeit untersuchte den Zusammenhang zwischen Ressourcen und früher Traumatisierung sowie den Einfluss dieser beiden Faktoren auf die Psychopathologie und die Reduktion der psychopathologischen Symptomatik bei stationär-psychiatrischen Patienten. Dabei gingen wir von negativen Zusammenhängen zwischen Ressourcen und psychopathologischer Symptomatik sowie früher Traumatisierung und Ressourcen aus und von positiven Zusammenhängen zwischen Traumatisierung und psychopathologischer Symptomatik. Ferner nahmen wir an, dass sich die aktuellen Ressourcen einer Person förderlich und der Grad der Traumatisierung hinderlich auf die Reduktion der Symptomatik auswirken würden. Diese Hypothesen testeten wir über Korrelations- und Regressionsanalysen an n=93 Patienten mit depressiver und posttraumatischer Symptomatik in einem psychiatrischen Krankenhaus in Offenburg. Wie erwartet konnten wir signifikante negative Zusammenhänge zwischen Ressourcen und Symptomatik sowie Traumatisierung und Ressourcen finden. Allerdings gab es entgegen unserer Vorhersage nur einen Zusammenhang zwischen Traumatisierung und posttraumatischer, jedoch nicht depressiver Symptomatik. Auch zeigten sich keine Zusammenhänge zwischen Ressourcen bzw. früher Traumatisierung und der Reduktion der psychopathologischen Symptomatik. Die beobachteten Zusammenhänge sind hinsichtlich der Prävention psychiatrischer Erkrankungen von Bedeutung und haben vielfältige Implikationen für die Entwicklung und den Einsatz präventiver und therapeutischer Interventionen.

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Predictors of outcome of an Internet‐based cognitive‐behavioural therapy for post‐traumatic stress disorder in older adults

Cited by 29 publications

References 50 publications

The effectiveness of trauma-focused cognitive-behavioural therapy in the treatment of depression of divorced women

The effectiveness of trauma-focused cognitive-behavioural therapy in the treatment of depression of divorced women

Causes of and risk factors for posttraumatic stress disorder: the beliefs of Iraqi and Afghan refugees resettled in Australia

Ressourcen, Kindheitstraumata und Psychopathologie bei stationär psychiatrischen Patienten

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